Individual provider Active NPI

Vanessa A Vaziri, LCSW

  • Clinical Social Worker
  • Madison, WI
National Provider Identifier
1194116491
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9130-123 Issued in WI
Practice address
122 E Olin Ave Ste 275
Madison, WI 53713-1475
Phone
(608) 262-1111
Fax
(608) 263-9045
NPI assigned
Feb 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09932075 CO
Clinical Social Worker 1041C0700X 9130-123 WI Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 9130 WI

Addresses

Primary practice location

122 E Olin Ave Ste 275
Madison, WI 53713-1475

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Other practice location 1

2625 Redwing Rd Ste 370
Fort Collins, CO 80526-6314
Phone (970) 393-3165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211116000934 WI Practitioner - Clinical Social Worker 5698164523 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09932075COMDClinical Social Worker
9130-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
University of Wisconsin Medical Foundation, Inc CurrentSince Nov 1, 2021 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Nov 1, 2021 Accepting new patients

Locations

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

600 Highland Ave
Stop 2424
Madison, WI 53792
Phone (608) 263-8060

122 E Olin Ave
Ste 275
Madison, WI 53713
Phone (608) 262-1111

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1194116491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E OLIN AVE STE 275",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537131475",
            "telephone_number": "608-262-1111",
            "fax_number": "608-263-9045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2625 Redwing Rd Ste 370",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805266314",
            "country_code": "US",
            "telephone_number": "970-393-3165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAZIRI",
        "first_name": "VANESSA",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-09",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09932075",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9130-123",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "9130",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.